Depressive rumination and trait anxiety mediate the effects of childhood victimization on adulthood depressive symptoms in adult volunteers

• Published in: PloS one Vol. 18; no. 5; p. e0286126
• Main Authors: Masuya, Jiro, Morishita, Chihiro, Higashiyama, Motoki, Deguchi, Ayaka, Ishii, Yoshitaka, Ono, Miki, Honyashiki, Mina, Iwata, Yoshio, Inoue, Takeshi
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 23-05-2023; Public Library of Science (PLoS)
• Subjects: Adult; Adults; Analysis; Analysis of covariance; Anxiety; Anxiety Disorders; Biology and Life Sciences; Bullying; Care and treatment; Child; Child abuse & neglect; Child psychopathology; Childhood factors; Children; Community; Correlation coefficient; Correlation coefficients; Depression; Depression, Mental; Diagnosis; Effects; Health surveys; Humans; Likert scale; Mediation; Mediators; Medicine and Health Sciences; Mental depression; Missing data; Multiple regression analysis; Neurosis; Neuroticism; Parenting; Path analysis; People and Places; Physical Sciences; Psychological aspects; Questionnaires; Regression analysis; Research and Analysis Methods; Rumination; Social Sciences; Software; Statistical analysis; Statistical significance; Statistics; Structural analysis; Suicide; Surveys; Symptoms; Victimization; Volunteers; Japan; United States > US
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0286126

Prior studies have reported that childhood victimization experiences substantially augment the risk of depression and suicide in adulthood. Several of our previous studies suggested that childhood experiences of victimization interact with the quality of parenting experienced in childhood, childhood experiences of abuse, neuroticism, and other factors to influence depressive symptoms in adulthood. In this study, it was hypothesized that "childhood victimization" worsens "trait anxiety" and "depressive rumination", and that "trait anxiety" and "depressive rumination" are mediators that worsen "depressive symptoms in adulthood".
The following self-administered questionnaires were completed by 576 adult volunteers: Patient Health Questionnaire-9, State-Trait Anxiety Inventory form Y, Ruminative Responses Scale, and Childhood Victimization Rating Scale. Statistical analyses were performed by Pearson correlation coefficient analysis, t-test, multiple regression analysis, path analysis, and covariance structure analysis.
Path analysis demonstrated that the direct effect was statistically significant for the paths from childhood victimization to trait anxiety, depressive rumination, and depressive symptom severity. Moreover, the indirect effect of childhood victimization on depressive rumination mediated by trait anxiety was statistically significant. The indirect effects of childhood victimization on depressive symptom severity mediated by trait anxiety and depressive rumination were statistically significant. Furthermore, the indirect effect of childhood victimization on depressive symptom severity mediated by both trait anxiety and depressive rumination was statistically significant.
We found that childhood victimization directly and adversely influenced each of the above factors, and indirectly worsened adulthood depressive symptoms with trait anxiety and depressive ruminations as mediating factors. The present study is the first to clarify these mediation effects. Therefore, the results of this study suggest the importance of preventing childhood victimization and the importance of identifying and addressing childhood victimization in patients with clinical depression.